Thyroid/adrenal

Question 1

with hyperthyroidism, think hyper___________

what S/S

Answer 1

hypermetabolism

things go up
weight loss, increased HR, increased BP, bulging eyes, heat intolerance (they like cold)

Question 2

is graves disease associated with hyper or hypothyroidism

Answer 2

hyper

Question 3

how to treat hyperthyroidism (3)

Answer 3

radioactive iodine

propylthiouracil/methimazole: cause immunosuppression

thyroidectomy

Question 4

what is the difference between a total vs partial thyroidectomy in terms of post management

Answer 4

total: need lifelong hormone replacement, at risk for hypocalcemia due to impaired parathyroid glands

partial: may need hormone supplementation at the beginning, at risk for a thyroid storm

Question 5

what is the main sign of a thyroid storm

Answer 5

temp is 105 or above

Question 6

how do you treat a thyroid storm

Answer 6

get temp down and O2 up
first step: ice pack … best step: cooling blanket

Question 7

with hypothyroidism, think hypo________

What S/S

Answer 7

hypometabolism

things go down
obesity, HR down, BP down, cold intolerance (like heat), decrease intelligence

Question 8

is myexedema coma associated with hyper or hypothyroidism

what is a myxedema coma

Answer 8

hypo

severe hypothyroidism with skin involvement
decreased mental status, hypothermia, slowing function of organs
medical emergency

Question 9

how to treat hypothyrodism

Answer 9

levothyroxine

Question 10

what is addison’s disease

Answer 10

decreased secretion of steroids

the pt cannot adapt to stress and will go into shock and have a hypoglycemia episode due to decreased BP and decreased CBG

Question 11

how to treat addison’s disease

Answer 11

give steroids (glucocorticoids ending in -sone)

in addison, you add-a-sone

Question 12

what is cushings syndrome

Answer 12

increased secretion of steroids

if you have a cushy touchie, you got more

Question 13

how to treat cushings syndrome

Answer 13

adrenalectomy

the pt now has addison’s diease
give steroids, pt. will look like cushman for a year

Question 14

grab a piece of paper, draw and list the steps to draw cushman

indicate what the different parts of cushman represent

Answer 14

1. give moon face
2. give beard: hirutism
3. draw big body: obesity
4. skinny arms and legs: obesity
5. bump on front: gynocomastia
6. bump on back: buffalo hump
7. fill with H2O: water retention, K+ loss
8. stretch marks
9. increased serum glucose: CBG Q6H, treat as a diabetic
10. easy bruising
11. he’s mad and immunosuppressed